1661 W 2Nd Corsicana Professional, Pllc

LBN: 1661 W 2Nd Corsicana Professional, Pllc
1661 W 2Nd Corsicana Professional, Pllc is an health care organization with primary practice located at 1661 W 2Nd Ave , Corsicana TX 75110-4107. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. 1661 W 2Nd Corsicana Professional, Pllc can be contacted via phone (903) 872-1661, or through Grumbos, Peter via phone (214) 259-7000.

Contact Information

Primary practice address
1661 W 2Nd Ave Corsicana TX 75110-4107
Phone: (903) 872-1661
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Grumbos, Peter Doctor of Dental Medicine (DMD)
Phone: (214) 259-7000

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1225673098
LBN Legal business name 1661 W 2Nd Corsicana Professional, Pllc
DBA Doing business as
Authorized official Grumbos, Peter Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2019
Last updated Apr 20th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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